Leptomeningeal metastasis from cervical cancer: Report of two cases and a review of the literature
Leptomeningeal metastases from cervical cancer are extremely rare, with only 24 cases reported in the English‐language literature. Leptomeningeal metastasis (LM) is usually a late event, but it can develop at any stage. A 44‐year‐old woman presented with vertigo, tinnitus, diminution of hearing, and...
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Published in | The journal of obstetrics and gynaecology research Vol. 47; no. 8; pp. 2782 - 2789 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Kyoto, Japan
John Wiley & Sons Australia, Ltd
01.08.2021
Wiley Subscription Services, Inc |
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Abstract | Leptomeningeal metastases from cervical cancer are extremely rare, with only 24 cases reported in the English‐language literature. Leptomeningeal metastasis (LM) is usually a late event, but it can develop at any stage. A 44‐year‐old woman presented with vertigo, tinnitus, diminution of hearing, and a cervical tumor at the initial visit. She underwent whole brain radiotherapy and systemic chemotherapy. Five months after the initial visit, her condition deteriorated rapidly and she died. A 49‐year‐old woman underwent surgery and pelvic radiotherapy for cervical cancer. She underwent resection of lung metastases 2 years later and received systemic chemotherapy for lymph node metastases 4 years later. Five years after the initial visit, the patient suddenly presented with diplopia, headache, and vomiting; her clinical course was fulminant and she died. Most patients with LM present with diverse clinical manifestations and deteriorate rapidly despite multiple treatment modalities. Gynecologic oncologists should be aware of this rare complication. |
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AbstractList | Abstract
Leptomeningeal metastases from cervical cancer are extremely rare, with only 24 cases reported in the English‐language literature. Leptomeningeal metastasis (LM) is usually a late event, but it can develop at any stage. A 44‐year‐old woman presented with vertigo, tinnitus, diminution of hearing, and a cervical tumor at the initial visit. She underwent whole brain radiotherapy and systemic chemotherapy. Five months after the initial visit, her condition deteriorated rapidly and she died. A 49‐year‐old woman underwent surgery and pelvic radiotherapy for cervical cancer. She underwent resection of lung metastases 2 years later and received systemic chemotherapy for lymph node metastases 4 years later. Five years after the initial visit, the patient suddenly presented with diplopia, headache, and vomiting; her clinical course was fulminant and she died. Most patients with LM present with diverse clinical manifestations and deteriorate rapidly despite multiple treatment modalities. Gynecologic oncologists should be aware of this rare complication. Leptomeningeal metastases from cervical cancer are extremely rare, with only 24 cases reported in the English-language literature. Leptomeningeal metastasis (LM) is usually a late event, but it can develop at any stage. A 44-year-old woman presented with vertigo, tinnitus, diminution of hearing, and a cervical tumor at the initial visit. She underwent whole brain radiotherapy and systemic chemotherapy. Five months after the initial visit, her condition deteriorated rapidly and she died. A 49-year-old woman underwent surgery and pelvic radiotherapy for cervical cancer. She underwent resection of lung metastases 2 years later and received systemic chemotherapy for lymph node metastases 4 years later. Five years after the initial visit, the patient suddenly presented with diplopia, headache, and vomiting; her clinical course was fulminant and she died. Most patients with LM present with diverse clinical manifestations and deteriorate rapidly despite multiple treatment modalities. Gynecologic oncologists should be aware of this rare complication. |
Author | Hirata, Shuji Omori, Makiko Oyama, Keisuke Ogawa, Tatsuyuki Fukasawa, Hiroko Tagaya, Hikaru |
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Cites_doi | 10.1016/S0090-8258(75)80003-5 10.1111/j.1447-0756.2011.01634.x 10.1016/j.ygyno.2006.01.040 10.1111/j.1447-0756.2009.01163.x 10.1007/s10147-010-0155-5 10.4103/sni.sni_111_17 10.1016/j.ygyno.2006.01.025 10.1002/dc.20705 10.1097/MD.0000000000006894 10.1111/j.1479-828X.2004.00209.x 10.1006/gyno.1996.0045 10.1002/dc.2840030217 10.1186/s12885-018-4447-x 10.1007/s12032-012-0429-z 10.1002/ccr3.445 10.1102/1470-7330.2007.0020 10.1023/B:NEON.0000040836.20884.fc 10.1007/s10147-019-01556-1 10.1007/s11910-004-0039-z 10.1111/IGC.0b013e31819a1e1a 10.1200/JCO.2007.14.3180 10.1016/j.clinimag.2016.09.013 10.4103/2152-7806.111304 10.1097/00006254-198301000-00001 10.1634/theoncologist.2008-0138 |
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Keywords | leptomeningeal metastasis magnetic resonance imaging carcinomatous meningitis cervical cancer cerebrospinal fluid cytology |
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Snippet | Leptomeningeal metastases from cervical cancer are extremely rare, with only 24 cases reported in the English‐language literature. Leptomeningeal metastasis... Leptomeningeal metastases from cervical cancer are extremely rare, with only 24 cases reported in the English-language literature. Leptomeningeal metastasis... Abstract Leptomeningeal metastases from cervical cancer are extremely rare, with only 24 cases reported in the English‐language literature. Leptomeningeal... |
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SubjectTerms | carcinomatous meningitis cerebrospinal fluid cytology Cervical cancer Chemotherapy leptomeningeal metastasis Literature reviews Lymph nodes magnetic resonance imaging Meninges Metastases Metastasis Patients Radiation therapy Tinnitus Vertigo Vomiting |
Title | Leptomeningeal metastasis from cervical cancer: Report of two cases and a review of the literature |
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